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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 80 - Assistant surgeon 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58674 |
| Medicaid Fee Schedule | View Medicaid rates for 58674 |
National average reimbursement for CPT 58674 by major payers:

$1,027.44

$1,117.59

$1,091.84

$1,327.04
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Oro Valley Surgical Suites, LLC
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Rate Benchmarking
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See a sample payer proposalCPT 58674 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58674 code is part of the Surgery services used for Surgical Procedures on the Female Genital System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 58674 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 58660-CPT | Moderate | Surgery For Scar Tissue, Surgery To Remove Internal Scar Tissue (Adhesions) That Has Formed Around The Ovaries Or Fallopian Tubes. The Procedure May Be A Regular Surgery Or Aided By A Scope (Laparoscope). |
| 58662-CPT | Moderate | Laparoscopy Excise Lesions, Laparoscopy Surgical With Fulguration Or Excision Of Lesions Of The Ovary Pelvic Viscera Or Peritoneal Surface By Any Method |
| 58670-CPT | Moderate | Laparoscopy Surg; W/ Fulgurati Of Oviducts (W//W/O T, Laparoscopy Surgical; With Fulguration Of Oviducts (With Or Without T |
| 58674-CPT | High | Once Per Dos Laparoscopy, Surgical, Ablation Of Uterine Fibroid Including Intraoperative Ultrasound Guidance -Nurse Review>11/01/2021: Deny Inv/N10=1/1/2017-11/01/2021 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58674. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58674 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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